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Caesarean myomectomy: a descriptive study of clinical outcome

Tapan Pattanaik, Basnta Kumar Pati, Sunita Samal.

Abstract
Background: The objective was to analyse the clinical outcome of caesarean myomectomy and to evaluate the safety of performing the procedure.
Methods: A total of 23 cases of caesarean myomectomy, conducted in Institute of Medical Science and Sum Hospital Odisha, between January 2008 to December 2012 were analysed.
Results: In this study, out of 23 cases one case needed hysterectomy and another one required relaparotomy. Puerperal pyrexia and sepsis was found in 8.6% cases and 60.8% cases had post-operative anaemia. Intra operative haemorrhage was more than 1000 ml in 82.6% cases though only30.4% cases required blood transfusion. Hospital stay in all patients was on average 8 days post-operatively. There was no maternal or perinatal mortality.
Conclusion: Myomectomy is relatively safe during caesarean section in selected cases with expert hand.

Key words: Caesarean section, Leiomyoma, Myomectomy



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